Russell Warren Hearne, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09007R Issued in LA

Practice address

192 Highway 3226
Deridder, LA 70634-8915

Phone

(936) 465-6282

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osteopractic Physical Therapy of Southwest Louisiana LLC

  • Physical Therapist
  • Vinton, LA
  • NPI 1003551565
  Medicare reassignment NPD Authorized official
• Premier Performance Physical Therapy and Sports Rehab

  • Physical Therapist
  • Deridder, LA
  • NPI 1437646767
  NPD Authorized official
• Residential Therapy Solutions, LLC

  • Physical Therapist
  • Deridder, LA
  • NPI 1902367568
  Medicare reassignment
• SB Physical Therapy and Sports Rehab

  • Physical Therapist
  • Longville, LA
  • NPI 1619466356
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1508369737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CAMPFIRE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70611",
            "telephone_number": "936-465-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 HIGHWAY 3226",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706348915",
            "telephone_number": "936-465-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNE",
        "first_name": "RUSSELL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09007R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm Devereaux Hare Jr., RPH
• Jaime Lyn Harper, M.S.,CCC-SLP
• Amanda Leigh Harrell, F.N.P.-C
• Felicia Harrison, MSW, LMSW
• Laura Haydon
• Casady James Hennigan, PT, DPT
• James Thomas Hennigan, Jr, RPH, PHARM D
• Henry S Carter, MD LLC
• Christine Hoffpauir, NP
• Kathern Sue Hollifield, R.P.T.

• Physical Therapist in Deridder, LA
• Providers in Deridder, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.